| Regimental number | 250 |
| Place of birth | Camberwell Victoria |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | 157 Camberwell Road, Upper Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J Phelan, 157 Camberwell Road, Upper Hawthorn, Victoria |
| Previous military service | 48th Infantry |
| Enlistment date | 3 April 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 2, Reinforcement 2 |
| AWM Embarkation Roll number | 24/7/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
